Fee
| Component | Value |
|---|---|
| Specialist fee | $342.25 |
Schedule and sources
- Fee edition
- October 1, 2026
- Record effective
- 2026-04-01
- Schedule edition
- July 22, 2026; effective July 1, 2026
- Official files
- Fee masterSchedule PDFOntario source page
Comprehensive physical medicine and rehabilitation consultation ........................................................................ 342.25
Passages mentioning A425
CONSULTATIONS AND VISITS
PHYSICAL MEDICINE & REHABILITATION (31)
GENERAL LISTINGS
A315 Consultation............................................................................ 220.80
Comprehensive physical medicine and rehabilitation consultation
A comprehensive physical medicine and rehabilitation consultation is a consultation in which
the physician provides all the elements of a consultation and spends a minimum of 75 minutes
in direct contact with the patient, exclusive of time spent rendering any other separately billable
intervention to the patient.
A425 Comprehensive physical medicine and rehabilitation
consultation ........................................................................ 342.25
Payment rules:
A comprehensive physical medicine and rehabilitation consultation is limited to one every 2
years by the same physician.
Medical record requirements:
The start and stop time must be recorded in the patient’s permanent medical record or the
payment for the service will be reduced to a lesser fee.
[Commentary:
Unless otherwise specified in the Schedule, the calculation of time excludes (1) time devoted to
any other service or procedure for which an amount is payable in addition to the consultation
and (2) non-patient-facing time such as such as time spent reviewing charts, imaging, or
documentation, etc.]
A515 Limited consultation ................................................................ 106.60
A316 Repeat consultation ................................................................ 106.60
A313 Medical specific assessment .................................................. 86.40
A310 Medical specific re-assessment.............................................. 75.90
A311 Complex medical specific re-assessment............................... 82.75
A318 Partial assessment ................................................................. 44.45
E078 - chronic disease assessment premium (see General
Preamble GP25) ................................................ add 50%CONSULTATIONS AND VISITS
PHYSICAL MEDICINE & REHABILITATION (31)
EMERGENCY OR OUT-PATIENT DEPARTMENT (OPD)
Physician in hospital but not on duty in the Emergency Department when seeing patient(s) in
the Emergency or OPD - use General Listings.
NON-EMERGENCY HOSPITAL IN-PATIENT SERVICES
See General Preamble GP40 to GP48. For emergency calls and other special visits to in-
patients, use General Listings and Premiums when applicable - see General Preamble GP65
to GP78.
C315 Consultation............................................................................ 233.65
C425 Comprehensive physical medicine and rehabilitation
consultation – subject to the same conditions as A425...... 342.25
C515 Limited consultation ................................................................ 106.60
C316 Repeat consultation ................................................................ 106.60
C313 Medical specific assessment .................................................. 86.40
C314 Medical specific re-assessment.............................................. 75.90
C311 Complex medical specific re-assessment............................... 82.75
C510 Complex neuromuscular assessment - subject to the same
conditions as A510 ............................................................. 104.85
C511 Complex physiatry assessment - subject to the same
conditions as A511 ............................................................. 114.80
Subsequent visits
C312 - first five weeks........................................................ per visit 40.05
C317 - sixth to thirteenth week inclusive (maximum 3 per patient
per week)................................................................ per visit 40.05
C319 - after thirteenth week (maximum 6 per patient per month)
............................................................................... per visit 40.05
Subsequent visits by the Most Responsible Physician (MRP)
See General Preamble GP44 to GP45 for terms and conditions.
C122 - day following the hospital admission assessment.............. 71.80
C123 - second day following the hospital assessment .................. 71.80
C124 - day of discharge ................................................................. 71.80
C126 - day of discharge, medically complex patient (see A13 for
terms and conditions) ......................................................... 95.10
Subsequent visits by the MRP following transfer from an Intensive Care Area
See General Preamble GP46 for terms and conditions.
C142 - first subsequent visit by the MRP following transfer from an
Intensive Care Area............................................................ 71.80
C143 - second subsequent visit by the MRP following transfer from
an Intensive Care Area ....................................................... 71.80
C121 Additional visits due to intercurrent illness (see General
Preamble GP43)..................................................... per visit 40.05
C318 Concurrent care .......................................................... per visit 40.05
C982 Palliative care (see General Preamble GP50)............ per visit 40.05CONSULTATIONS AND VISITS
PHYSICAL MEDICINE & REHABILITATION (31)
NON-EMERGENCY LONG-TERM CARE IN-PATIENT SERVICES
Non-Emergency Long-Term Care In-Patient Services includes Chronic Care Hospitals,
Convalescent Hospitals, Nursing Homes, Homes for the Aged, designated chronic or
convalescent care beds in hospitals and nursing homes or homes for the aged, other than
patients in designated palliative care beds. For emergency calls and other special visits to in-
patients, use General Listings and Premiums when applicable - see General Preamble GP65
to GP78.
W515 Consultation............................................................................ 233.65
W425 Comprehensive physical medicine and rehabilitation
consultation - subject to the same conditions as A425....... 342.25
W310 Limited consultation ................................................................ 106.60
W516 Repeat consultation ................................................................ 106.60
W510 Complex neuromuscular assessment - subject to the same
conditions as A510 ............................................................. 104.85
W511 Complex physiatry assessment - subject to the same
conditions as A511.............................................................. 114.80
Admission assessment
W512 - Type 1................................................................................. 69.35
W514 - Type 2................................................................................. 20.60
W517 - Type 3................................................................................. 30.70
W419 Periodic health visit................................................................. 65.05
W314 General re-assessment of patient in nursing home*............... 20.60
Note:
*May only be claimed 6 months after Periodic health visit (as per the Nursing Homes Act).APPENDIX J
VIDEO ONLY
A010A, A011A, A015A, A016A, A021A, A025A, A026A, A035A, A036A,
A045A, A046A, A050A, A055A, A056A, A065A, A066A, A075A, A076A,
A085A, A086A, A095A, A096A, A116A, A130A, A135A, A136A, A150A,
A155A, A156A, A160A, A165A, A166A, A175A, A176A, A180A, A185A,
A186A, A190A, A191A, A192A, A195A, A196A, A197A, A198A, A205A,
A206A, A210A, A220A, A223A, A225A, A226A, A235A, A236A, A245A,
A246A, A253A, A255A, A256A, A260A, A265A, A266A, A275A, A285A,
A286A, A315A, A316A, A320A, A325A, A335A, A345A, A346A, A355A,
A356A, A365A, A375A, A385A, A395A, A400A, A405A, A415A, A416A,
A425A, A435A, A445A, A446A, A460A, A465A, A466A, A470A, A475A,
A476A, A485A, A486A, A515A, A525A, A545A, A565A, A575A, A580A,
A586A, A590A, A595A, A600A, A605A, A606A, A615A, A616A, A625A,
A626A, A635A, A636A, A645A, A646A, A655A, A662A, A665A, A667A,
A675A, A680A, A682A, A695A, A710A, A715A, A720A, A725A, A726A,
A735A, A745A, A770A, A775A, A795A, A800A, A801A, A802A, A814A,
A817A, A818A, A835A, A845A, A865A, A906A, A913A, A914A, A915A,
A925A, A935A, A945A, C010A, C013A, C014A, C015A, C016A,
C020A, C023A, C024A, C025A, C026A, C033A, C034A, C035A, C036A,
C043A, C044A, C045A, C046A, C051A, C053A, C054A, C055A, C063A,
C064A, C065A, C066A, C071A, C073A, C074A, C075A, C076A, C083A,
C084A, C085A, C086A, C093A, C094A, C095A, C096A, C111A, C113A,
C114A, C116A, C130A, C131A, C133A, C134A, C135A, C136A, C150A,
C151A, C153A, C154A, C155A, C156A, C160A, C161A, C163A, C164A,
C165A, C166A, C173A, C174A, C175A, C176A, C180A, C181A, C183A,
C184A, C185A, C186A, C190A, C193A, C194A, C196A, C203A, C204A,
C205A, C206A, C210A, C220A, C223A, C225A, C226A, C233A, C234A,
C235A, C236A, C243A, C244A, C245A, C246A, C255A, C260A, C263A,
C264A, C265A, C266A, C270A, C275A, C283A, C285A, C286A, C311A,
C313A, C314A, C315A, C316A, C320A, C325A, C335A, C341A, C343A,
C344A, C345A, C346A, C353A, C354A, C355A, C356A, C365A, C375A,
C385A, C395A, C411A, C413A, C414A, C415A, C416A, C425A, C435A,
C441A, C443A, C444A, C445A, C446A, C460A, C461A, C463A, C464A,
C465A, C466A, C470A, C471A, C473A, C474A, C475A, C476A, C480A,
C481A, C483A, C484A, C485A, C486A, C510A, C511A, C515A, C545A,
C565A, C570A, C575A, C580A, C585A, C586A, C590A, C595A, C600A,
C601A, C603A, C604A, C605A, C606A, C611A, C613A, C614A, C615A,
C616A, C623A, C624A, C625A, C626A, C635A, C643A, C644A, C645A,
C646A, C655A, C661A, C662A, C665A, C667A, C675A, C680A, C682A,
C695A, C720A, C721A, C723A, C724A, C725A, C726A, C710A, C713A,
C715A, C735A, C745A, C760A, C770A, C775A, C795A, C845A, C865A,
C895A, C915A, C925A, C935A, C945A, K630A, W025A, W026A,
W075A, W076A, W130A, W150A, W155A, W156A, W165A, W185A,
W190A, W196A, W235A, W236A, W275A, W310A, W355A, W356A,
W375A, W395A, W425A, W435A, W465A, W466A, W510A, W511A,
W515A, W516A, W535A, W720A, W725A, W726A, W770A, W775A,
W795A, W895A, W925AFee master record
Master, record 195. Record Layout PDF, page 1.
A42520260401999999990000000000000000000000000034225000000000000000000000000
Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.
| Field | Raw / scale 10,000 |
|---|---|
| provider | 00000000000 / 0 |
| assistant | 00000000000 / 0 |
| specialist | 00003422500 / 342.25 |
| anaesthetist | 00000000000 / 0 |
| non anaesthetist | 00000000000 / 0 |
Explanation
AI-generated. Unreviewed.
Comprehensive physical medicine and rehabilitation consultation is a comprehensive consultation service listed under Consultations and Visits, Physical Medicine & Rehabilitation (31), General Listings.
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